Town of Mt. Morris

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF MT. MORRIS

Practice address

103 Main St
Mount Morris, NY 14510-1239

Phone

(585) 658-2730

Fax

(585) 658-3021

NPI assigned

Mar 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Dipasquale

Title

Town Supervisor

Phone

(585) 658-2730

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1376510081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST",
            "city": "MOUNT MORRIS",
            "state": "NY",
            "postal_code": "145101239",
            "telephone_number": "585-658-2730",
            "fax_number": "585-658-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MT. MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "DIPASQUALE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "585-658-2730"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2519",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01594518",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "PAMBUMTMORR",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene K Taylor, NP
• Kristine Tebeau, P.T.
• Carol Thompson, RN
• Carol M Thompson, RN
• Autumn Timothy
• Craig Clarke Ullock, P.T.
• Kelly Utley, RN
• Amanda Wachter
• Walgreen Co
• Donna Marie Walsworth, RN, BSN

• Land Ambulance in Mount Morris, NY
• Providers in Mount Morris, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.